| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $58 | $114 | $211 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $109 | $180 | $322 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $104 | $193 | $278 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $93 | $243 | $339 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $69 | $100 | $162 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $71 | $133 | $263 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $84 | $180 | $269 |
| Group psychotherapy CPT 90853 • Mental Health | $23 | $39 | $65 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $7 | $13 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $13 | $156 | $511 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $26 | $214 | $436 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $19 | $208 | $390 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $80 | $248 | $383 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $80 | $452 | $826 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $55 | $160 | $296 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $95 | $230 | $411 |
| EMG needle each extremity complete CPT 95886 • Neurology | $50 | $80 | $107 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $51 | $95 | $134 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $59 | $143 | $287 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $86 | $133 | $200 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $91 | $186 | $259 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $203 | $422 | $753 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $8 | $82 | $144 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $38 | $114 | $210 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $127 | $201 | $258 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $152 | $235 | $334 |
| Office visit established patient minimal CPT 99211 • Office Visits | $8 | $20 | $31 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $4 | $48 | $84 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $11 | $81 | $142 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $80 | $123 | $156 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $93 | $178 | $281 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $75 | $129 | $200 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $115 | $181 | $272 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $199 | $287 | $401 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $19 | $47 | $78 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $36 | $87 | $143 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $10 | $125 | $205 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $7 | $80 | $143 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $79 | $145 | $211 |
| Consultation office low complexity CPT 99243 • Office Visits | $76 | $125 | $194 |
| Consultation office high complexity CPT 99245 • Office Visits | $105 | $250 | $382 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $30 | $536 | $1,518 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $30 | $95 | $226 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,021 | $2,436 | $3,851 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $30 | $383 | $994 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $1,375 | $3,954 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $55 | $895 | $2,076 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $258 | $614 | $970 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $684 | $1,672 | $2,661 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $551 | $1,138 | $2,135 |